swelling. The birth history was unremarkable, and the parents stated that the swelling
had been present since birth. During the past few months, the oral swelling had enlarged
progressively; however, the parents denied observing any difficulties with feeding
or breathing. The parents noted no other medical abnormalities. On examination, a
large, distensible mass was palpated at the anterior floor of the mouth. The overlying
mucosa had a bluish tinge, and both submandibular duct orifices were present, patent,
and laterally displaced by the lesion. There were no palpable neck masses. Magnetic
resonance imaging of the face was performed 1 month before at an outside hospital
and revealed a 1.5- × 1.7- × 1.8-cm, well-defined, predominantly cystic, lesion located
within the root of the tongue (Figure 1). There was a small, enhancing, soft-tissue nodule ventrally.
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Biography
Dr. Trinh is a resident, Division of Oral and Maxillofacial Pathology, Columbia University Irving Medical Center, New York, NY.
Biography
Dr. Lee is a resident, Division of Oral and Maxillofacial Surgery, Columbia University Irving Medical Center, New York, NY.
Biography
Dr. Eisig is the chairman, Division of Oral and Maxillofacial Surgery, Columbia University Irving Medical Center, New York, NY.
Biography
Dr. Peters is an assistant professor, Division of Oral and Maxillofacial Pathology, Columbia University Irving Medical Center, New York, NY.
Article Info
Publication History
Published online: December 14, 2022
Accepted:
October 14,
2022
Received in revised form:
September 2,
2022
Received:
August 8,
2022
Publication stage
In Press Corrected Proof
Footnotes
Disclosures. None of the authors reported any disclosures.
Diagnostic Challenge is published in collaboration with the American Academy of Oral and Maxillofacial Pathology and the American Academy of Oral Medicine.
Identification
DOI: https://doi.org/10.1016/j.adaj.2022.10.013
Copyright
© 2022 American Dental Association. All rights reserved.
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